RIDLEY'S FAMILY MARKETS, INC (NPI# 1114053444) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114053444 |
| Entity Type | Organization |
| Organization Name | RIDLEY'S FAMILY MARKETS, INC |
| Other Organization Name | RIDLEY'S PHARMACY #7152 |
| Practice Address |
911 N Main St Pocatello ID 83204-2831 |
| Mailing Address |
621 Washington St. South Twin Falls ID 83301-5519 |
| Practice Telephone | 2084788510 |
| Practice Fax Number | 2082351328 |
| Mailing Telephone | 2083244633 |
| Mailing Fax Number | 2083241190 |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2016-05-17 |
| Authorized Official Name | DR. CATHI KETTERLING (PRESIDENT) |
| Authorized Official Telephone | 2083244633 |
| Authorized Official Credential | PHARMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
1569CP | ID | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | 805916500 | 05 |
| Other Name | Type Code |
|---|---|
| Ridley's Pharmacy #7152 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831619089 | Ridley's Family Markets, Inc | Pharmacy | 7670 5th St, Wellington, CO 80549-1500 | 2017-06-20 |
| 1427489954 | Ridley's Family Markets, Inc | Pharmacy | 1403 N Meridian Rd, Kuna, ID 83634 | 2013-12-10 |
| 1184050148 | Ridley's Family Markets, Inc | Pharmacy | 1000 Pocatello Creek Rd, Pocatello, ID 83201-2926 | 2013-09-23 |
| 1700116886 | Ridley's Family Markets, Inc | Pharmacy | 25 W Center St, Orem, UT 84057-4605 | 2010-01-12 |
| 1255661500 | Ridley's Family Markets, Inc | Pharmacy | 1585 N State St, Orem, UT 84057-2578 | 2010-01-09 |
| 1700116050 | Ridley's Family Markets, Inc | Pharmacy | 1689 Great Basin Hwy, Ely, NV 89301-3154 | 2010-01-09 |
| 1003942913 | Ridley's Family Markets, Inc | Durable Medical Equipment & Medical Supplies | 210 Main St. South, Kimberly, ID 83341-0443 | 2007-02-26 |
| 1730215070 | Ridley's Family Markets, Inc | Durable Medical Equipment & Medical Supplies | 310 Oneida, Rupert, ID 83350-1756 | 2007-02-23 |
| 1801921135 | Ridley's Family Markets, Inc | Pharmacy | 1016 S Lincoln, Jerome, ID 83338-3048 | 2007-02-23 |
| 1427486976 | Ridley's Family Markets, Inc | Pharmacy | 42 W Main St, Midway, UT 84049-6313 | 2013-10-18 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Ridley's Family Markets, Inc. | 621 Washington Street South, Twin Falls, ID 83301 |
| Street Address |
911 N MAIN ST |
| City | POCATELLO |
| State | ID |
| Zip Code | 83204-2831 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932653821 | Erica Matamoros | Pharmacist | 911 N Main St, Pocatello, ID 83204-2831 | 2016-08-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568974541 | Daniel Graham Rasmussen | Social Worker | 335 N. Main, Pocatello, ID 83204 | 2017-10-30 |
| 1801311246 | Thomas Henrie | Specialist/Technologist | 3960 Stockman Rd., Pocatello, ID 83204 | 2017-08-07 |
| 1750803110 | David Tim Williams | Counselor | 224 S. Arthur Suite 2, Pocatello, ID 83204 | 2017-07-07 |
| 1023441185 | Insight Occupational Therapy, LLC | Occupational Therapist | 158 N Main St., Pocatello, ID 83204 | 2013-08-13 |
| 1679816912 | A New Hope, LLC | Day Training, Developmentally Disabled Services | 19b Mountain Dr, Pocatello, ID 83204 | 2013-04-05 |
| 1790032431 | Wynnona Sarah Warren | Pharmacist | 911 North Main Street, Pocatello, ID 83204 | 2012-08-13 |
| 1902110380 | Belmont Management, Inc. | Intermediate Care Facility, Mentally Retarded | 6150 S. 5th Ave, Pocatello, ID 83204 | 2010-07-28 |
| 1104066539 | Rachel Ann Seibold | Speech-Language Pathologist | 1254 Swisher Rd, Pocatello, ID 83204 | 2009-02-25 |
| 1710163803 | Allen Bennett Martin | Clinic/Center | 540 South Garfield, Pocatello, ID 83204 | 2008-01-18 |
| 1174711758 | Rsm Pa Pllc | Physician Assistant | 1595 Bannock Hwy, Pocatello, ID 83204 | 2007-10-09 |
| Find all providers in zip 83204 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184050148 | Ridley's Family Markets, Inc | Pharmacy | 1000 Pocatello Creek Rd, Pocatello, ID 83201-2926 | 2013-09-23 |
| 1891942413 | Costco Wholesale Corporation | Pharmacy | 305 W Quinn Rd, Pocatello, ID 83201 | 2008-08-26 |
| 1356367486 | Ed Snell's Pharmacy Shop | Pharmacy | 1015 E Young St, Pocatello, ID 83201-5282 | 2006-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295336709 | Family Health Services Pharmacy | Pharmacy | 218 W. Nez Perce, Jerome, ID 83338 | 2020-11-03 |
| 1841806494 | Deblaquiere Enterprises, Inc. | Pharmacy | 86 Tank Rd, Oldtown, ID 83822-5126 | 2020-09-18 |
| 1043838584 | Costco Wholesale Corporation | Pharmacy | 3403 W Chinden Blvd, Meridian, ID 83646-7151 | 2020-07-10 |
| 1265054324 | Costco Wholesale Corporation | Pharmacy | 2495 E Lincoln Rd, Idaho Falls, ID 83401-2203 | 2020-05-12 |
| 1851923544 | Rocky Mountain Pharmacy, LLC | Pharmacy | 3910 Washington Pkwy Ste A, Idaho Falls, ID 83404-7884 | 2020-02-10 |
| 1013559269 | Timberline Pharmacy | Pharmacy | 4574 N Ten Mile Rd Ste 110, Meridian, ID 83646-6930 | 2019-10-09 |
| 1508420373 | K2red LLC | Pharmacy | 447 N Idaho St, Wendell, ID 83355 | 2019-04-27 |
| 1679039135 | Hollis Family Pharmacy LLC | Pharmacy | 845 S Substation Rd, Emmett, ID 83617 | 2019-02-20 |
| 1598229809 | Clearwater Canyon Pharmacy, LLC | Pharmacy | 13020 Us-12, Orofino, ID 83544 | 2019-01-31 |
| 1861999377 | Bi-mart Corporation | Pharmacy | 11347 W State Street, Star, ID 83669 | 2018-04-11 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.